PMID- 30760299 OWN - NLM STAT- MEDLINE DCOM- 20190705 LR - 20200225 IS - 1745-6215 (Electronic) IS - 1745-6215 (Linking) VI - 20 IP - 1 DP - 2019 Feb 13 TI - Binge-eating disorder treatment goes online - feasibility, usability, and treatment outcome of an Internet-based treatment for binge-eating disorder: study protocol for a three-arm randomized controlled trial including an immediate treatment, a waitlist, and a placebo control group. PG - 128 LID - 10.1186/s13063-019-3192-z [doi] LID - 128 AB - BACKGROUND: Binge-eating disorder (BED) is characterized by recurrent episodes of loss of control over eating and is related to a higher prevalence of other mental disorders and somatic consequences associated with overweight and obesity. In community-based samples, 2-4% of women and 1-3% men are diagnosed with BED. Psychotherapeutic interventions focusing on maintenance factors of disturbed eating behavior have proven to be effective. However, treatment access is limited for a considerable number of patients with BED. A lack of specialized institutions and treatment resources, but also long distances to treatment facilities for people living in remote or rural areas are often causes of insufficient care. Internet-based guided self-help (GSH) programs have the potential to fill this gap. METHODS: This project aims to develop and evaluate an Internet-based treatment for BED derived from an evidence-based manualized cognitive behavioral therapy (CBT). The primary goal is to test feasibility and suitability of the Internet-based program and to evaluate the treatment outcome in comparison to a pure and a placebo-inspired waitlist control group (i.e. reduction of binge-eating episodes and eating disorder pathology as primary outcome variables). In total, 60 women and men aged 18-70 years with a BED diagnosis will be recruited. The Internet-based GSH treatment comprises eight sessions followed by three booster sessions. The placebo-inspired waitlist control group receives weekly messages containing information increasing positive expectations regarding the treatment effects during the four-week waiting period. The pure waitlist control group receives weekly messages simply asking patients to fill in a short questionnaire. DISCUSSION: The access to evidence-based treatments for BED might be made easier using an Internet-based GSH approach. The present study protocol presents a randomized controlled trial. As well as evaluating the suitability and efficacy of the Internet-based GSH treatment, there will also be a prelimarily investigation on the influence of positive expectations (placebo) for a therapeutic intervention on core symptoms. TRIAL REGISTRATION: German Clinical Trials Register, DRKS00012355 . Registered on 14 September 2017. FAU - Munsch, Simone AU - Munsch S AD - Department of Clinical Psychology and Psychotherapy, University of Fribourg, Rue de Faucigny 2, 1700, Fribourg, Switzerland. simone.munsch@unifr.ch. FAU - Wyssen, Andrea AU - Wyssen A AD - Department of Clinical Psychology and Psychotherapy, University of Fribourg, Rue de Faucigny 2, 1700, Fribourg, Switzerland. FAU - Vanhulst, Pierre AU - Vanhulst P AD - Human-IST Institute, University of Fribourg, Boulevard de Perolles 90, 1700, Fribourg, Switzerland. FAU - Lalanne, Denis AU - Lalanne D AD - Human-IST Institute, University of Fribourg, Boulevard de Perolles 90, 1700, Fribourg, Switzerland. FAU - Steinemann, Sharon T AU - Steinemann ST AD - Department of General Psychology and Methodology, University of Basel, Missionsstrasse 62a, 4055, Basel, Switzerland. FAU - Tuch, Alexandre AU - Tuch A AD - Department of General Psychology and Methodology, University of Basel, Missionsstrasse 62a, 4055, Basel, Switzerland. AD - Swiss Health Observatory, Federal Statistical Office, Espace de l'Europe 10, 2010, Neuchatel, Switzerland. LA - eng GR - 52-15/Swiss Anorexia Nervosa Foundation/ PT - Clinical Trial Protocol PT - Journal Article DEP - 20190213 PL - England TA - Trials JT - Trials JID - 101263253 RN - 0 (Placebos) SB - IM MH - Adult MH - Aged MH - Binge-Eating Disorder/*therapy MH - *Cognitive Behavioral Therapy MH - Control Groups MH - Feasibility Studies MH - Humans MH - *Internet MH - Middle Aged MH - Placebos MH - *Randomized Controlled Trials as Topic MH - Treatment Outcome MH - Waiting Lists PMC - PMC6375147 OTO - NOTNLM OT - Binge-eating disorder OT - Cognitive behavioral therapy OT - Guided self-help OT - Internet-based treatment OT - Placebo COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The Ethics Committee of the canton Bern (Switzerland) has evaluated and approved this study. Project-ID: 2017-00102. Date of approval: 27.07.2017. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2019/02/15 06:00 MHDA- 2019/07/06 06:00 PMCR- 2019/02/13 CRDT- 2019/02/15 06:00 PHST- 2018/06/01 00:00 [received] PHST- 2019/01/10 00:00 [accepted] PHST- 2019/02/15 06:00 [entrez] PHST- 2019/02/15 06:00 [pubmed] PHST- 2019/07/06 06:00 [medline] PHST- 2019/02/13 00:00 [pmc-release] AID - 10.1186/s13063-019-3192-z [pii] AID - 3192 [pii] AID - 10.1186/s13063-019-3192-z [doi] PST - epublish SO - Trials. 2019 Feb 13;20(1):128. doi: 10.1186/s13063-019-3192-z.